Focused ABA Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1-11-9563 Issued in TN

Legal business name

FOCUSED ABA SERVICES LLC

Practice address

3589 Highway 41a S
Clarksville, TN 37043-6805

Phone

(970) 623-6369

Fax

(855) 850-8162

NPI assigned

Feb 4, 2014

Last updated

Feb 4, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jennifer Marie Reilly, BCBANPI 1366737066

Title

Owner

Phone

(970) 623-6369

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Marie Reilly, BCBA

  • Behavior Analyst
  • Albuquerque, NM
  • NPI 1366737066
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1851714349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3589 HIGHWAY 41A S",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436805",
            "telephone_number": "970-623-6369",
            "fax_number": "855-850-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3589 HIGHWAY 41A S",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436805",
            "telephone_number": "970-623-6369",
            "fax_number": "855-850-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUSED ABA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-623-6369",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "1-11-9563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q001259",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oluwatosin Elizabeth Folarin
• Kelly Michael Foley, PA-C
• Bernie Folkerts, CRNA
• Milleena Fonseca, M.S., CF-SLP
• Morgan Sandmann Forbes, M.S., CCC-SLP

• Community/Behavioral Health Agency in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.